SPAN

1
SPAN

• San Bernardino County Partners Aftercare Network
• Program Manager II Louis Hodnett
• Project Manager - Gary Bastajian
• Clinic Supervisor - Ben Cooley

2
Our Situation

• San Bernardino County has a N of 2400. 1200 in
  the treatment as usual group and 1200 in the
  demonstration group.
• It is a challenge to get enough participants to
  meet the N, but we are essentially on track

3
1st Year (3/1-6/30) N Progression
1st Year (3/1-6/30) N Progression
1ST YEAR (3/1-6/30) N Progression
SPAN
4
How Did This Happen?

• The SPAN grant commenced July, 1999.
  Unfortunately, our county received a late start
  due to county procedural issues. We officially
  accepted participants into our program on April
  03, 2000
• No Probation involvement results in higher need
  for case management

5
How Did This Happen?

• A large number of inmates are not eligible to the
  program because of the following reasons

6
Reasons for Non-Inclusion

• Did not meet criteria 131Non-resident of our
  county 14Sentenced to Prison 130Sentenced
  to State Hospital 12Refused the program
  48Released before assessment 171Accepted to MH
  Court Program 2 Total 508

7
Alternatives Considered

• -Capture cite and release
• -Expand admission criteria
• -Change referral process

8
Alternatives Considered

• Change Referral Process
• Referrals from JMHS clinicians
• Look at all JMHS referrals from Deputies and
  nurses without JMHS screening
• Use list of all inmates who are either on
  mediation or have been referred for medication

9
Decisions re Course of Action

• Use list of all inmates who are either on
  mediation or have been referred for medication
• Capture cite and release
• Expand admission criteria
• Limit the duration and type of case management

10
Our Vision for the Future

• Our goal is 2400 participants in SPAN by the end
  of the grant period
• To accomplish this, the program will need to
  average 20 new participants per week
• Since we came short 112 participants in the first
  year of the grant, we will increase our expected
  N for the 2nd and 3rd grant year by 56
  participants per year, respectively

11
Summary

• The expansion of the inmate admission criteria to
  consider inmates who have mental disorders of
  less severity, but who may be of risk for future
  incarceration has helped to increase the number
  of participants in SPAN
• Limiting case management services to linkage,
  secure funding, and housing provides more time
  clinicians to provide assessments